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Author Maloney-Moni, J.
Title Kia Mana: A synergy of wellbeing Type
Year 2004 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords (down) Transcultural nursing; Psychology; Maori
Abstract
Call Number NRSNZNO @ research @ 841 Serial 825
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Author Shelah, G.E.
Title Enabling pedagogy: An enquiry into New Zealand students' experience of bioscience in pre-registration nursing education Type
Year 2003 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords (down) Teaching methods; Nursing; Education
Abstract
Call Number NRSNZNO @ research @ Serial 856
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Author Best, G.A.
Title Being pruned: Student nurses experience of being shaped in clinical practice by lecturers Type
Year 2004 Publication Abbreviated Journal Auckland University of Technology Library
Volume Issue Pages
Keywords (down) Students; Nursing; Education
Abstract
Call Number NRSNZNO @ research @ Serial 599
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Author Grainger, J.
Title Mind shift: Creating change through narrative learning cycles: A qualitative interpretive study of clinical conversation as an appraisal process for sexual and reproductive health nurses Type
Year 2007 Publication Abbreviated Journal Auckland University of Technology Library
Volume Issue Pages
Keywords (down) Sexual and reproductive health; Nursing; Professional development
Abstract This thesis explores the process of an annual appraisal strategy, 'clinical conversation', from the perspective of seven nurses who were assessed using this technique. The findings demonstrate that clinical conversation is a strategy which facilitates reflection, both as a solitary exercise and with others, to ensure that learning from experience is optimised. The research used a qualitative interpretive approach informed by the model of Grounded Theory espoused by Strauss and Corbin. All eight nurses who were assessed using the clinical conversation strategy were advanced practitioners working within the scope of sexual and reproductive health. Two of the actual appraisals were observed and seven of the nurses were interviewed within eight weeks of being assessed. The outcome of the clinical conversation was primarily one of learning; the acquisition of new insights into self as practitioner. The learning was facilitated through the process of narration; telling the story of clinical practice. Three distinct narrative cycles were identified, each an experiential learning episode. The experience of undertaking a variety of assessment activities created a narrative with self and triggered an internal reflective thinking process; the experience of working with a peer created an additional narrative, a mutual dialogue reflecting back on practice; the experience of sharing practice with an assessor created a further and final narrative, a learning conversation. Each narrative can be seen as a catalyst for change. Primarily, the nurses felt differently about themselves in practice, the way they saw themselves had shifted. Such a change can be described as an alteration in perspective. These alterations in perspective led all nurses to identify ways in which they would change their actual clinical practice. In this way the nurses attempted to align their espoused beliefs about practice with their actual practice. The author notes that the study shows that each nurse responded differently to each narrative learning cycle: for some the conversation with the assessor was more of a catalyst for change than for others. In this way clinical conversation may be flexible enough to respond to a variety of differing learning styles. Learning was person specific which is an imperative for the continued professional development of already highly skilled clinicians. The implication of the research is that whilst clinical conversation was designed as a tool for appraising clinical competence, its intrinsic value lies in supporting the professional development of nurses.
Call Number NRSNZNO @ research @ 833 Serial 817
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Author Whitehead, N.
Title Quality and staffing: Is there a relationship in aged residential care Type
Year 2007 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords (down) Rest homes; Patient safety; Older people; Nursing specialties
Abstract This thesis reports a mixed methods study, longitudinal in nature, of consenting Age Related Residential Care (ARRC) hospitals in the upper half of the North Island, which was conducted to examine several factors, including AARC hospital efficiency at producing adverse event free days for residents. An interpretativist approach examined what best practice strategies were implemented by the ARRC hospitals that were identified to be most successful at producing adverse event free days for the residents.
Call Number NRSNZNO @ research @ Serial 1159
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Author Farrell, E.
Title A lamp to light the way: Public health nurses' perceptions and experiences of professional/clinical supervision Type
Year 2003 Publication Abbreviated Journal Auckland University of Technology
Volume Issue Pages
Keywords (down) Public health; Nursing; Clinical supervision; Professional competence
Abstract
Call Number NRSNZNO @ research @ 887 Serial 871
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Author Prebble, K.
Title Ordinary men and uncommon women: A history of psychiatric nursing in New Zealand public mental hospitals, 1939-1972 Type
Year 2007 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords (down) Psychiatric Nursing; Mental health; History; Gender
Abstract This social-cultural history explores the changing context, culture, and identity of psychiatric nurses working in New Zealand public mental hospitals between 1939 and 1972. Primary documentary sources and oral history interviews provided the data for analysis. The thesis is divided into two periods: 1939 to 1959 when asylum-type conditions shaped the culture of the institutional workforce, and 1960 to 1972 when mental health reform and nursing professionalisation challenged the isolation and distinct identity of mental hospital nurses. Between 1939 and 1959 the introduction of somatic treatments did not substantially change nursing practice in mental hospitals. Overcrowding, understaffing and poor resources necessitated the continuance of custodial care. The asylum-type institutions were dependent on a male attendant workforce to ensure the safety of disturbed male patients, and the maintenance of hospital farms, gardens, and buildings. Although female nurses provided all the care and domestic work on the female side, the belief that psychiatric nursing was physically demanding, potentially dangerous, and morally questionable, characterised the work as generally unsuitable for women. Introduction of psychiatric nursing registration which was a move toward professionalisation did little to change the dominance of a male, working-class culture. From 1960 to 1972 psychiatric nurses' identity was contested. New therapeutic roles created the possibility of the nurses becoming health professionals. Their economic security and occupational power, however, was tied to an identity as unionised, male workers. As psychiatric nurses were drawn closer to the female-dominated nursing profession through health service changes and nursing education reform, both men and women acted to protect both their working conditions and their patients' welfare. To achieve these ends, they employed working-class means of industrial action. By accepting the notion that psychiatric nurses' identity was socially constructed, this thesis provides an interpretation that goes beyond the assumption that nursing is a woman's profession. Instead, it presents psychiatric nursing as a changing phenomenon shaped by contested discourses of gender, class and professionalisation. Nursing in public mental hospitals attracted ordinary men and uncommon women whose collective identity was forged from the experience of working in a stigmatised role.
Call Number NRSNZNO @ research @ 763 Serial 749
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Author Sheridan, N.F.
Title Mapping a new future: Primary health care nursing in New Zealand Type
Year 2005 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords (down) Primary health care; Chronic diseases; Community health nursing; Nursing models
Abstract The aim of the study was to determine the practice of nurses employed in integrated care projects in New Zealand from late 1999 to early 2001. Integrated care was a major health reform strategy that emphasised primary health care as a means to improve service provision between the health sectors. An investigation of nurses' practice sought to determine the extent to which primary health care principles had been adopted in practice, as a comprehensive primary health care approach has been advocated globally in the management of chronic conditions; the leading cause of disability throughout the world and the most expensive problems faced by health care systems. The philosophical basis of the research was postpositivism. The study employed a quantitative non-experimental survey design because it allowed numeric descriptions of the characteristics of integrated care projects to be gained for the purpose of identifying nurses' practice. The unit of inquiry was the integrated care project, and 80 comprised the study population. Data were obtained on projects from expert informants (n=27) by telephone survey using a structured interview questionnaire developed by the researcher. Data obtained from interviews were statistically analysed in two stages. First, data were produced to comprehensively describe the characteristics of integrated care projects and nurses practice. The 'Public health interventions model' was used as a framework to analyses the interventions (activities) and levels of population-based practice of nurses. Following this, the social values embedded in nurses' practice were determined using 'Beattie's model of health promotion' as a framework for analysis. A strong association was found between nurses' practice in projects and strategies used in integrated care, such as information sharing, guideline development and promotion, and case management, and projects with an ethnic focus, low income focus, chronic condition focus, and well-health focus. Whilst nurses undertook interventions most frequently at the individual practice level they were also strongly associated with the small proportion of interventions that were undertaken at the community level. The majority of interventions by nurses reflected the health promotion value of health persuasion, indicating a paternalist and individual-oriented philosophy. Nurses were engaged in two interventions that indicated a collective-oriented philosophy – coalition building and community development, the latter reflecting health promotion values of negotiation, partnership and empowerment. The study demonstrated that nurses' practice in projects was predominantly centred on individual-focused population-based practice suggesting the need for a framework to assist nurses to transition their practice to include more activity at the community and systems levels. Without a reorientation of practice, nurses will remain limited in their ability to achieve health gains for populations. In response to this conclusion, and drawing on research results and reviewed literature, a new model, The 'Primary Health Care interventions model' was constructed. Recommendations include advocacy for the acceptance of the model by the health funder, professional nursing bodies, health organisations, educational institutions, nurses, communities, and individuals.
Call Number NRSNZNO @ research @ 679 Serial 665
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Author Ratnasabapathy, P.
Title Silent suffering: The 'lived experience' of women who have experienced early pregnancy loss and used the health services for their care Type
Year 2005 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords (down) Pregnancy; Grief; Psychology
Abstract
Call Number NRSNZNO @ research @ 786 Serial 770
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Author Williams, J.L.
Title The Cummins model: An adaption to assist foreign nursing students in New Zealand Type
Year 2003 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords (down) Nursing; Education; Students
Abstract
Call Number NRSNZNO @ research @ Serial 1114
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Author Stokes, G.
Title Who cares? Accountability for public safety in nurse education Type
Year 2005 Publication Abbreviated Journal Online at Research Space @ Auckland University
Volume Issue Pages
Keywords (down) Nursing; Education; Accountability; Patient safety
Abstract The focus of this study is the management of unsafe nursing students within the tertiary education context. The moral dilemmas experienced by nurse educators, specifically linked to the issue of accountability for public safety, are explored. The theoretical framework for the thesis is informed by the two moral voices of justice and care identified by Gilligan and further developed using the work of Hekman and Lyotard. Case study methodology was used and data were collected from three schools of nursing and their respective educational organisations. Interviews were conducted with nurse educators and education administrators who had managed unsafe nursing students. Interviews were also conducted with representatives from the Nursing Council of New Zealand and the New Zealand Nurses Organisation to gain professional perspectives regarding public safety, nurse education and unsafe students. Transcripts were analysed using the strategies of categorical aggregation and direct interpretation. Issues identified in each of the three case studies were examined using philosophical and theoretical analyses. This thesis explores how students come to be identified as unsafe and the challenges this posed within three educational contexts. The justice and care moral voices of nurse educators and administrators and the ways in which these produced different ways of caring are made visible. Different competing and conflicting discourses of nursing and education are revealed, including the discourse of safety – one of the language games of nursing. The way in which participants positioned themselves and positioned others within these discourses are identified. Overall, education administrators considered accountability for public safety to be a specific professional, nursing responsibility and not a concern of education per se. This thesis provides an account of how nurse educators attempted to make the educational world safe for patients, students, and themselves. Participants experienced different tensions and moral dilemmas in the management of unsafe students, depending upon the moral language games they employed and the dominant discourse of the educational organisation. Nurse educators were expected to use the discourses of education to make their case and manage unsafe students. However, the discourses of nursing and education were found to be incommensurable and so the moral dilemmas experienced by nurse educators were detected as differends. This study bears witness to these differends.
Call Number NRSNZNO @ research @ Serial 1106
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Author Seton, K.M.
Title Diversity in action: Overseas nurses' perspectives on transition to nursing practice in New Zealand Type
Year 2004 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords (down) Nursing; Cross-cultural comparison; Education
Abstract
Call Number NRSNZNO @ research @ Serial 1110
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Author Vandergoot, A.
Title From ward nurse to proficient critical care nurse: A narrative inquiry study Type
Year 2005 Publication Abbreviated Journal Akoranga Theses Collection, Auckland University of Technology
Volume Issue Pages
Keywords (down) Nursing specialties
Abstract
Call Number NRSNZNO @ research @ 602 Serial 588
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Author Van der Harst, J.
Title Inside knowledge: A qualitative descriptive study of prison nursing in New Zealand Type
Year 2003 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords (down) Nursing specialties
Abstract Analysis of the research literature on prison nursing revealed a paucity of research, both in New Zealand and internationally. The aim of this research was to describe the working life of the nurse in a New Zealand prison and provide an understanding of and documentation on prison nursing in New Zealand. A qualitative descriptive study was undertaken to determine what it is like to nurse in a New Zealand prison. Ten nurses working at two public prisons and one private prison took part in the study. Data was collected by the use of semi-structured interviews and analysed thematically into four main themes. The participants' descriptions of their working lives as prison nurses expose the multifaceted nature of this work and the inherent relational dynamics. These dynamics determine the nurse's ability to practise effectively in the prison setting. Findings highlighted many paradoxical situations for nurses when working in this environment. The very aspects of the work that participants described as negative were also identified, in some instances, as challenging and satisfying.
Call Number NRSNZNO @ research @ 886 Serial 870
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Author Williams, P.
Title The experience of being new in the role of Charge Nurse Type
Year 2004 Publication Abbreviated Journal Auckland University of Technology Library
Volume Issue Pages
Keywords (down) Nursing
Abstract
Call Number NRSNZNO @ research @ 608 Serial 594
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